Clark, Charles

Clark, Charles is an individual health care provider with primary practice located at 1900 Ogden Ave , Aurora IL 60504-4273. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Clark, Charles can be contacted via phone (630) 978-6218.

Contact Information

Primary practice address
1900 Ogden Ave Aurora IL 60504-4273
Phone: (630) 978-6218
Fax: (630) 978-6219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-008359 Illinois

Profile Details

NPI number 1245226141
LBN Legal business name Clark, Charles
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Dec 7th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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